Parent Name:

Adventure Ranger's Name:   He is in 6th Grade7th Grade8th Grade

Address: 

City, State & Zip: 

Home Phone: 

Parent's Cell Phone:

Email of Parent: 

Email of Adventure Ranger:

Cell Phone of Adventure Ranger:

When you hit the "Submit Form" button, you will be directed to a page that shows pictures of each of the uniform requirements for your Adventure Ranger. You may order your uniform one of two ways: print out the Uniform and Gear Guide (click here), or go to the Harbor Light Store and order each piece and pay for it with your credit card.